Provider Demographics
NPI:1043664790
Name:DRAGANI, DAVID (BCBA)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:DRAGANI
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:792 LYNWOOD ST
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1318
Mailing Address - Country:US
Mailing Address - Phone:631-988-8955
Mailing Address - Fax:
Practice Address - Street 1:792 LYNWOOD ST
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1318
Practice Address - Country:US
Practice Address - Phone:631-988-8955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst